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CPT 81003 · negotiated-rate distribution across hospitals in TX

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Hospitals
61
Min
$2.25
Median
$14.00
Max
$75.89
Range multiplier
33.7×

By payer (50 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
Blue Cross Blue Shield42236$1.46$9.81$8,427.005771.9×
UnitedHealthcare37107$1.89$4.16$118.5662.7×
Aetna3990$1.49$18.80$100.3267.3×
Cigna2961$1.93$12.48$108.0056.0×
Humana3159$2.00$14.00$121.6060.8×
Medicaid2455$1.00$1.98$73.9774.0×
Anthem BCBS341$1.66$2.25$12.007.2×
Medicare1139$2.07$2.32$2.701.3×
Multiplan2238$13.00$66.20$113.908.8×
First Health1321$11.00$80.00$114.0010.4×
healthsmart719$5.00$113.90$135.2827.1×
healthcare highways [2210]515$12.48$27.00$38.003.0×
prime health services514$2.93$66.68$70.3424.0×
commercial | galaxy | all plans912$80.10$87.40$88.401.1×
Ambetter1212$2.25$3.26$4.842.2×
commercial | entrust | all plans1111$4.50$5.31$5.921.3×
wellpoint610$2.45$3.04$36.0014.7×
web tpa [2115]510$12.48$30.50$85.416.8×
commercial | phcs | all plans510$14.45$62.44$69.704.8×
velocity provider ppo network49$2.70$58.84$62.0623.0×
assurant health48$100.32$100.32$100.321.0×
web tpa48$68.40$68.40$68.401.0×
txp optum health (transplant)18$53.00$71.02$100.501.9×
provider network of america48$58.84$62.06$74.481.3×
quik trip48$58.84$60.45$62.061.1×
scott & white58$3.49$37.25$95.1427.3×
wellmed77$2.00$2.25$65.0032.5×
superior health plan47$2.00$28.00$53.0026.5×
commercial | community health choice | exchange77$2.36$3.38$3.381.4×
usa managed care organization37$58.84$58.84$62.061.1×
TRICARE16$2.44$2.44$2.441.0×
commercial | nxhealth | all plans66$7.31$7.31$7.311.0×
healthscope benefits [2290]56$10.67$19.74$38.003.6×
Molina66$1.89$2.36$3.261.7×
medincrease35$70.61$74.48$74.481.1×
galaxy health network35$28.71$49.00$80.002.8×
commercial | usa health network | all plans55$88.40$88.40$88.401.0×
commercial | superior health plan | all plans55$3.38$3.38$3.381.0×
commercial | nppn | all plans55$83.20$83.20$83.201.0×
commercial | renaissance | all plans55$1.62$1.62$1.621.0×
commercial | kelseycare | exchange55$3.04$3.04$3.041.0×
health partners open network25$3.49$4.42$16.074.6×
commercial | harris health | ers55$3.38$3.38$3.381.0×
commercial | ellwood | all plans55$6.75$6.75$6.751.0×
phcs [1780]45$22.40$72.36$101.844.5×
black lung [6055]44$12.48$30.50$38.003.0×
insurance services of lubbock44$3.67$3.67$3.671.0×
friday health insurance company14$26.00$34.50$140.005.4×
galaxy health14$97.00$113.49$129.981.3×
kempton group44$4.50$4.50$4.501.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
St Lukes Health Memorial San AugustSan AugustineTX11$96.00$33.60$1.89$9.00$86.40
Clay County Memorial HospitalHenriettaTX5$50.00$35.00$5.00$9.00$16.00
Chi St Lukes Health Mem LivingstonLivingstonTX11$96.00$33.60$1.89$8.50$86.40
Ut Health East Texas Specialty HospiTylerTX14$136.00$13.60$34.00$75.89$87.04
Childrens Medical Center Of PlanoPlanoTX31$134.00$100.50$1.89$75.00$129.98
Baylor County Hospital DistrictSeymourTX11$19.00$13.30$2.03$70.00$100.00
Burleson St. Joseph Health CenterCaldwellTX11$82.00$28.70$1.89$7.14$73.80
Madison St. Joseph Health CenterMadisonvilleTX12$82.00$28.70$1.89$7.03$73.80
Baylor Orthopedic And Spine HospitalArlingtonTX2$100.00$60.00$5.59$66.58$8,427.00
Texas Rehabilitation Hospital Of KelKellerTX17$152.00$15.20$38.00$62.78$101.84
Warm Springs Rehab Hosp KyleKyleTX8$82.75$82.75$54.92$62.41$74.48
Acuity Hospital Of South TexasSan AntonioTX11$82.75$82.75$1.49$62.06$74.48
Corpus Christi Specialty HospitalCorpus ChristiTX8$82.75$82.75$54.92$62.06$74.48
Eastland Memorial HospitalEastlandTX3$60.00$30.00$2.00$6.50$54.00
Mccamey County Hospital DistrictMccameyTX14$54.00$54.00$32.00$47.50$54.00
Heritage Park Surgical HospitalShermanTX2$120.00$72.00$2.81$38.22$57.05
Baylor Scott And White Mc At SunnyvaSunnyvaleTX1$137.00$82.20$26.99$38.22$57.05
Muleshoe Area Medical CenterMuleshoeTX4$47.00$28.00$18.00$38.00$47.00
Pam Squared At Corpus ChristiCorpus ChrstiTX26$82.75$82.75$1.58$3.94$70.34
College Station Medical CenterCollege StationTX10$82.00$28.70$1.89$3.81$69.70
St. Joseph Regional Health CenterBryanTX10$82.00$28.70$1.89$3.81$69.70
St. Lukes Sugar Land HospitalSugar LandTX18$104.00$36.40$1.62$3.38$88.40
Chi St Lukes Health Baylor Med CtrHoustonTX20$104.00$36.40$1.62$3.38$88.40
St. Lukes The Woodlands HospitalThe WoodlandsTX19$104.00$36.40$1.62$3.38$88.40
St Lukes Hospital At The VintageHoustonTX20$104.00$36.40$1.62$3.38$88.40
Grimes St. Joseph Health CenterNavasotaTX9$82.00$28.70$1.89$3.26$69.70
St. Lukes Lakeside HospitalThe WoodlandsTX19$104.00$36.40$1.62$3.21$88.40
Hansford County Hospital DistrictSpearmanTX5$30.00$23.00$21.00$27.00$32.00
Lifecare Spec Hosp Of North TexasDallasTX9$108.00$10.80$27.00$27.00$72.36
Seton Medical Center Harker HeightsHarker HeightsTX15$69.00$6.90$12.42$26.91$73.97
Rice Medical CenterEagle LakeTX19$36.30$25.41$1.00$25.52$36.30
Baptist Saint Anthonys HospitalAmarilloTX81$32.00$3.20$9.92$22.40$27.20
Crosbyton Clinic HospitalCrosbytonTX4$31.00$31.00$6.00$21.50$25.00
Trinity Regional Hospital SachseSachseTX8$32.14$25.72$2.25$2.93$27.32
St. Lukes Patients Medical CenterPasadenaTX12$104.00$36.40$1.80$2.75$88.40
Driscoll Childrens HospitalCorpus ChristiTX6$172.50$34.50$1.89$2.44$1,000.00
Methodist Hospital For SurgeryAddisonTX28$94.00$56.40$1.46$2.41$4.50
Brazosport Regional Health SystemLake JacksonTX11$55.00$19.25$1.89$2.36$30.80
Ascension Seton Shoal CreekAustinTX10$169.00$101.40$1.32$2.25$5.13
Ascension Seton BastropBastropTX10$169.00$101.40$1.32$2.25$5.13
Crane County Hospital DistrictCraneTX2$43.00$30.00$11.00$19.00$39.00
Dimmit Regional Hospital DistrictCarrizo SpringsTX3$45.00$27.00$6.00$16.50$43.00
River Crest HospitalSan AngeloTX22$152.00$76.00$2.25$14.35$135.28
San Angelo Community Medical CenterSan AngeloTX22$152.00$76.00$2.25$14.35$135.28
Shannon Medical CenterSan AngeloTX22$152.00$76.00$2.25$14.35$135.28
Big Spring State HospitalBig SpringsTX22$152.00$76.00$2.25$14.35$135.28
Wilson N Jones Regional Medical CtrShermanTX12$32.14$25.72$2.25$14.14$32.14
Crescent Medical Center LancasterLancasterTX12$108.00$70.00$2.00$14.00$315.00
North Texas Medical CenterGainsvilleTX9$20.00$5.00$2.00$12.00$18.00
Chi St Lukes Health Memorial LufkinLufkinTX10$96.00$33.60$1.89$11.59$86.40
Glen Rose Medical CenterGlen RoseTX8$15.00$15.00$7.00$11.00$14.00
Laredo Specialty HospitalLaredoTX0$21.35
Yoakum County HospitalDenver CityTX0$585.90$585.90
The Medical Ctr Of Southeast TexasPort ArthurTX0$349.71$349.71
Laredo Medical CenterLaredoTX0$167.70$58.70
Nocona General HospitalNoconaTX0$44.00
Kingwood Emergency HospitalKingwoodTX0$239.64$119.82
Longview Regional Medical CenterLongviewTX0$144.70$39.07
St Joseph Medical CenterHoustonTX0$173.27$173.27
Trustpoint Rehabilitation Hospital OLubbockTX0$21.35
Navarro Regional HospitalCorsicanaTX0$121.67$42.58

Median is taken across all payer × plan combinations the hospital publishes. Cash and gross are the latest snapshot values. Range multiplier (max ÷ min) is a quick way to see which hospitals or payers vary the most.